Bilaterales hippocampales primäres ZNS-Lymphom: Ungewöhnliche Differentialdiagnose eines rasch progredienten dementiellen Syndroms

Zusammenfassung

Vorgestellt wird ein rasch progredientes dementielles Syndrom bei einem 63-Jährigen infolge eines bilateralen hippocampalen primären ZNS-Lymphoms. Da es sich bei sekundären Demenzformen um potentiell kausal behandelbare Ätiologien handelt, kommt der schnellen Diagnosestellung eine entscheidende Bedeutung zu. Die richtungweisenden bildgebenden Aspekte insbesondere bei hippocampalen Prozessen werden diskutiert.

Abstract

We report on a 63-year old man suffering from rapid progressive dementia due to bilateral hippocampal primary CNS lymphoma. Early diagnosis especially in secondary dementia is essential because of potentially treatable aetiologies with regression of cognitive and behaviour abnormalities. Characteristic imaging findings especially in inflammatory and neoplastic lesions affecting the hippocampal structures are discussed.

Schlüsselwörter

ZNS-Lymphom - Primär - Demenz - Hippocampus - MRT

Key words

CNS-lymphoma - primary - dementia - hippocampus - MRI

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